Treatment of lung cancer depends on the type of cancer (small cell or non-small cell), the size and location of tumor spread in the body and general health of the patient.
In the patient With the clinic Assuta in lung cancer treatment in Israel, a team of highly qualified specialists working. Developed treatment options, doctors give advice, but the final decision is made by the patient himself.
The main treatment options include surgery, radiation and chemotherapy. Depending on the type of cancer and its stage, the methods are combined.
The treatment program is non-small cell lung cancer in Israel
If this type of tumor is limited to one lung and the patient as a whole a good general state of health is likely to hold a surgery to remove a malignancy. It may be followed by a course of chemotherapy to destroy any remaining pathological lesions.
If surgery is not possible (for example, there is an increased risk of complications), we recommend radiation therapy. In some cases, it may be combined with chemotherapy.
If the cancer has spread, surgery or radiation therapy are ineffective, chemotherapy is usually given. When the disease is resumed growth after a primary treatment chemotherapy, another course is selected drugs.
Sometimes, an alternative method may be chemotherapy or biological targeted therapy.
The program of treatment of small cell lung cancer in Israel
This type of cancer is usually treated with chemotherapy or in combination with radiotherapy. This can help extend the life of the patient and relieve symptoms.
Surgery is usually not used. Often this is due to the fact the cancer has already spread to other areas of the body by the time when I was diagnosed. However, if the disease is detected at an early stage, surgery may be performed. In these cases, chemotherapy or radiation administered after surgery to help reduce the risk of recurrence.
Surgical treatment of lung cancer in Israel
There are three types of operations in this disease:
- Lobectomy - a surgery, during which remove one or more lobes of the lung. Doctors may suggest its implementation, if the tumor is only in one part of one lung.
- Pneumonectomy involves resection of the entire lung. It is used when the tumor is located in the central part of the body or completely enveloped him.
- Wedge resection (segmentectomy) - surgery, during which removed a small wedge-shaped part of the lungs. This procedure is suitable only to a small number of patients, at a very early stage non-small cell lung cancer.
Diagnosis, previous surgery for lung cancer in Israel
Operations preceded by a series of tests to check the patient's overall health and lung function. Diagnosis may include electrocardiogram (cardiac output) and spirometry (measurement of the inhaled and exhaled air through the lungs).
How is the operation in the treatment of lung cancer in Israel?
The operation is usually performed through an incision in the chest, the fragments are removed, or completely lung lesions. It can also be resected lymph nodes adjacent if there are suggestions that the cancer could spread to them.
Sometimes an alternative to this approach is the Video-thoracoscopic surgery (VATS). Surgery is performed through several small incisions with a fiber-optic camera, a transmitting image to the monitor.
hospitalization period in the postoperative period, typically from 5 to 10 days. However, to fully recover the patient will take several weeks. To prevent complications, such as, for example, blood clots, require a feasible exercise, as soon as possible. Walking and swimming are later recommended for most people, after lung cancer.
As with all surgery, lung surgery carries a risk of complications. They can be treated with medication or other surgical interventions:
- inflammation or infection of the lungs (pneumonia);
- deep vein thrombosis.
Radiation therapy in the treatment of lung cancer in Israel
This type of treatment uses ionizing radiation to kill cancer cells.
The intensive course of radiotherapy, known as radical radiotherapy, is prescribed for non-small cell lung cancer, if the patient is healthy enough for surgery. At very small tumors use a special kind of radiation, known as stereotactic radiation therapy instead of surgery.
Radiation therapy (palliative) can also be used to control symptoms and slow the spread of the disease, when cure is no longer possible.
Type radiotherapy, known as prophylactic cranial irradiation, are sometimes used in the treatment of small cell lung cancer. Brain processing carried low radiation dose. This is a preventive measure, because there is a risk of spread ofcancer in this area.
For When the treatment of lung cancer in Israel, the the following types of radiation therapy the BE CAN an applied:
- Conventional external beam radiation therapy (external) - used accelerator directing radiation to the affected parts of the body. Increasingly used compared to brachytherapy.
- Stereotactic radiation therapy - the most accurate form of external radiation therapy that uses a large dose of radiation, while providing the most gentle impact on the healthy surrounding tissue. The indications are very small tumors.
- Internal radiation therapy involves the introduction of the catheter into the lungs. Small segments of radioactive material is placed within a catheter and in a direction opposite to the tumor before they will be removed after a few minutes. Indications for malignancy can be fully or partially blocking the path of breathing.
Courses of radiation therapy in the treatment of lung cancer in Israel
Radical radiotherapy is usually given five days a week with a break for the weekend. Each session lasts 10-15 minutes. The course lasts four to seven weeks.
Giperfraktsionnaya accelerated radiotherapy is an alternative method of irradiation. Performed three times a day for 12 consecutive days.
Stereotactic radiotherapy is necessary to lower the number of sessions, because it uses a large dose of radiation. In conventional radical radiotherapy is required from 20 to 32 treatment sessions, while for stereotactic - from 3 to 10.
When palliative irradiation must be from 1 to 5 sessions.
Side effects of therapy include:
- chest pain;
- persistent cough which is capable of inducing sputum with blood;
- difficulty swallowing (dysphagia);
- skin redness and tenderness after the sunburn;
- loss of hair on his chest.
Side effects should pass after the course is completed.
Chemotherapy is the treatment of lung cancer in Israel
Chemotherapy uses medications (cytostatics) for the treatment of cancer. This method is used:
- before surgery to shrink the tumor, which increases the likelihood of effectiveness of surgical intervention;
- after surgery to prevent the recurrence of the disease;
- to relieve symptoms and slow the spread of the cancer process, when getting rid of the disease is no longer possible;
- in combination with radiation therapy.
Chemotherapy is usually given cycles: taking medication for a few days, then a break for several weeks for recovery from the effects of the treatment.
The number of cycles of chemotherapy will depend on the type of lung cancer. Most patients require four to six courses of treatment for 3-6 months.
Lung Cancer Chemotherapy preferred combinations of different drugs.
Side effects of treatment may include:
- oral ulcers;
- hair loss.
These undesirable effects must pass after the end of treatment, in addition, have the opportunity to take drugs that improve the well-being during treatment.
Chemotherapy can also weaken the immune system, making the body more susceptible to infections. It is therefore important to pay attention to the emerging signs and be sure to tell your doctor.
Other treatments for lung cancer in Israel
In addition to surgery, radiation and chemotherapy, there are a number of other methods, some of which are prescribed to treat this disease. They are described below.
Targeted therapy in the treatment of lung cancer in Israel
Targeted drugs can be an alternative to chemotherapy in advanced non-small cell lung cancer when surgery is inefficient, or irradiation.
Used drugs such as erlotinib and gefitinib, which are also called inhibitors of growth factor, as their effect is to tackle malignant cell growth.
This method is effective only for people, there are certain proteins whose cancer cells. In order to find out whether the appropriate targeted therapy, lung biopsy is performed and the resulting sample is investigated.
Radiofrequency ablation in the treatment of lung cancer in Israel
Radiofrequency ablation is a new kind of treatment, which can cure non-small cell lung cancer diagnosed at an early stage.
In the course of treatment, the doctor in the clinic Assutauses a CT scanner to guide the needle directly into the tumor site. Radio waves pass through the needle, which generate heat, destroying cancer cells. The most common complication of radiofrequency ablation is a pneumothorax.
Cryotherapy in the treatment of lung cancer in Israel
Cryotherapy is used if the tumor closes the way of breathing. This expression is known as endobronchial obstruction that can cause symptoms such as breathing problems, cough, hemoptysis.
Cryotherapy is performed as brachytherapy, except that instead of a radioactive source is placed a device known as a cryoprobe. He is able to generate very low temperatures, which help to reduce the size of malignancy.
Photodynamic therapy in the treatment of lung cancer in Israel
Photodynamic therapy (PDT) may be carried out in the initial phases of the disease when the patient can not or want to apply for surgical treatment. In addition, an indication for PDT may be removal of a tumor, blocking the airway.
This treatment is carried out in two stages. Performed the injection of the drug, which accumulates in the tissues and malignancy makes its cells are very sensitive to light. To start the next phase after 24-72 hours. The tumor is irradiated with a laser. Runs photochemical reaction leading to necrosis of malignant cells.
Side effects of photodynamic therapy may include: airway inflammation and fluid accumulation in the lungs, leading to shortness of breath, throat Bole.
Assuta Hospital has the necessary resources to provide quality care and offers a highly professional service of doctors in order to achieve the best possible result in the treatment.